Active NPI
Ivette Medero Bowers, PHARMD
- Pharmacist
- Davie, FL
National Provider Identifier
1730427220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS35918
- Practice address
- 10065 Cleary Blvd
Davie, FL 33324 - Phone
- (954) 473-4144
- Fax
- (954) 452-1361
- NPI assigned
- Jan 18, 2013
- Last updated
- Jan 18, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS35918 | FL | Primary |
Addresses
Primary practice location
10065 Cleary Blvd
Davie, FL 33324
Mailing address
10065 Cleary Blvd
Davie, FL 33324
Phone (954) 473-4144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS35918 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerald Hills Pharmacy LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Hollywood, FL
- NPI 1134437403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358467200000",
"number": "1730427220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10065 CLEARY BLVD",
"city": "DAVIE",
"state": "FL",
"postal_code": "33324",
"telephone_number": "954-473-4144",
"fax_number": "954-452-1361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10065 CLEARY BLVD",
"city": "DAVIE",
"state": "FL",
"postal_code": "33324",
"telephone_number": "954-473-4144",
"fax_number": "954-452-1361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "IVETTE",
"middle_name": "MEDERO",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-18",
"last_updated": "2013-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS35918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.